| Regimental number | 6748 |
| Place of birth | Melbourne Vic |
| Religion | Methodist |
| Occupation | Clerk |
| Address | 123 Marriott Street, Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, J Heatley, 123 Marriott Street, Redfern, New South Wales |
| Enlistment date | 22 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 7 February 1918 |